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Biomedical subjects

M F Richie

Publications and source records attributed to M F Richie.

9 recordsLinked to original sources
PubMed1996

Wandering.

There are different types of wandering patterns as well as different etiologies which include both emotional and physiological origins. All interventions should focus on understanding why the behavior is present. Wandering may have beneficial effects for the client such as satisfying emotional needs as well as improving physical limitations--poor circulation and oxygenation or the presence of contractures. Management of the environment is the best means of dealing with wandering behavior. Medication should be the intervention of last choice.

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PubMed1996

Resistance to care.

Resisting care is defined as any patient behavior which prevents or interferes with the care provider performing or assisting with ADLs for the patient, including bathing, eating, toileting, dressing and grooming. Significant consequences of resisting care include malnutrition, skin breakdown, dehydration, constipation and weight loss. Creativity, flexibility and patience are key components of any intervention. Due to the lability of the person with cognitive impairment, a plan that works perfectly one day may never work again.

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PubMed1996

Inappropriate sexual behavior.

Inappropriate sexual behavior, or sexually aggressive behavior, is a term which encompasses a variety of behaviors, including obscene gesturing, touching or hugging another person, exposing body parts or disrobing, and masturbating in public. Inappropriate sexual behavior often elicits feelings of anxiety, embarrassment, or unease in the caregiver and the result is often disruption in continuity of care for the patient. The cause of inappropriate sexual behavior varies among individuals and careful assessment of the etiology of the behavior is the first essential step in intervening. Nursing interventions focus upon providing opportunities for expression of appropriate sexual behavior while attempting to extinguish inappropriate sexual behavior.

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PubMed1996

Vocally disruptive behavior.

Vocally disruptive behavior (VDB) is intelligible or unintelligible noise making that may be goal-directed or purposeless. VDB can be conceptualized as a cyclic phenomenon. VDB has been linked to cognitive impairment, poor sleep, requiring assistance with ADLs, and being at high risk for falling. General nursing interventions for VDB include remaining calm, using gentle touch, creating a familiar, home-like environment, and using diversions during ADLs.

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PubMed1996

Assaultive behavior in geriatric patients.

The causes of assaultive behavior can be grouped into three categories: patient factors, environmental factors, and caregiver factors. History of previous assault and diagnosis of dementia or organic brain syndrome are most often associated with assaultive behavior in elderly patients. Limited body space and excessive environmental stimuli can trigger assaultive behavior. Gerontological nurses can prevent the incidence of assault by recognizing the potential risks, preventing patients' fear and anxiety, reducing the outburst of anger, and decreasing patients' agitation.

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